Exam Health Assessment ,Actual
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What type of database is most appropriate when the rapid collection of data is required and often
compiled concurrently with lifesaving measures?
a. Complete
b. Focused
c. Follow-up
d. Emergency
d. Emergency
An emergency database includes the rapid collection of data often obtained concurrently with lifesaving
measures. A focused database is for a limited or short-term problem; this database concerns mainly one
problem, one cue complex, or one body system. A follow-up database is used to follow up on short-term
or chronic health problems; the statuses of identified problems are evaluated at regular and appropriate
intervals. A complete database includes a complete health history and a full physical examination; it
describes the current and past health state and forms a baseline against which all future changes can be
measured.
A nurse precepting a student nurse asks, "What's the most important step in the critical-thinking
process?"
,a. Clustering subjective and objective data
b. Analyzing health data
c. Using evidence-based assessment techniques
d. Prioritizing health concerns
c. Using evidence-based assessment techniques
Evidence-based techniques are supported by research showing effectiveness of the technique that
provides the safest and most current techniques to promote the health of patients. Clustering subjective
and objective data is a step in the critical-thinking process, but is not the most important step. Analyzing
health data is a step in the critical-thinking process, but is not the most important step. Prioritizing health
concerns is a step in the critical-thinking process, but is not the most important step.
What type of database is most appropriate for an individual who is admitted to a long-term care
facility?
a. Focused
b. Complete
c. Emergency
d. Follow-up
b. Complete
A complete database includes a complete health history and a full physical examination; it describes the
current and past health state and forms a baseline against which all future changes can be measured. A
focused database is for a limited or short-term problem; this database concerns mainly one problem, one
cue complex, or one body system. A follow-up database is used to follow up on short-term or chronic
health problems; the statuses of identified problems are evaluated at regular and appropriate intervals. An
emergency database includes a rapid collection of data often obtained concurrently with lifesaving
measures.
Which of the following is an example of objective data?
a. A sore throat
b. An earache
,c. Alert and oriented
d. Dizziness
c. Alert and oriented
Objective data is what the health professional observes; level of consciousness and orientation are
observations. Subjective data is what the person says about himself or herself during history taking.
Which of the following is an example of subjective data?
a. Blood glucose 126 md/dL
b. Pain rated at 7 out of 10
c. Heart rate of 76 bpm
d. Bruising on lower leg
b. Pain rated at 7 out of 10
Subjective data is what the patient says about himself or herself during history taking. Objective data is
what the health professional observes by inspecting, percussing, palpating, and auscultating during the
physical examination. Blood glucose is measured by using a drop of blood placed on a test strip in a
glucometer. Bruising is assessed by inspection. Heart rate is assessed by palpation of the radial artery or
auscultated with a stethoscope when listening to heart sounds.
A complete database is
a. used to collect data rapidly and is often compiled concurrently with lifesaving measures.
b. used to evaluate the cause or etiology of disease.
c. used for a limited or short-term problem usually consisting of one problem, one cue complex, or
one body system.
d. used to perform a thorough or comprehensive health history and physical examination.
d. used to perform a thorough or comprehensive health history and physical examination.
A complete database includes a complete health history and a full physical examination; it describes the
current and past health state and forms a baseline against which all future changes can be measured. An
emergency database is a rapid collection of data often obtained concurrently with lifesaving measures. A
focused database is for a limited or short-term problem; this database concerns mainly one problem, one
, cue complex, or one body system. Medical diagnoses are used to evaluate the cause or etiology of the
disease.
A patient admitted to the hospital with asthma has the following problems identified based on an
admission health history and physical assessment. Which problem is a first-level priority?
a. Ineffective self-health management
b. Impaired gas exchange
c. Readiness for enhanced spiritual well-being
d. Risk for infection
b. Impaired gas exchange
First-level priority problems are problems that are emergent, life-threatening, and immediate. Impaired
gas exchange is an emergent and immediate problem. Third-level priority problems are problems that are
important to the patient's health but can be addressed after more urgent health problems are addressed.
Ineffective self-health management is an example of a third-level priority. Second-level priority problems
are problems that are next in urgency; these problems require prompt intervention to forestall further
deterioration. Risk for infection is an example of a second-level priority. Third-level priority problems are
problems that are important to the patient's health but can be addressed after more urgent health problems
are addressed. Wellness diagnoses are third-level priority problems.
Which of the following actions/behaviors in the critical-thinking process are important for the
novice nurse to remember? (Select all that apply.)
a. Disregard initial cues
b. Approach assessment with a nonjudgmental attitude
c. Cluster associated assessment data
d. Perform assessment in whatever manner works for you.
e. Avoid making assumptions
b, c, e
The nurse should never make assumptions as they may bias data collection and selection of diagnoses. An
important aspect to gain trust with the patient is to maintain a nonjudgmental attitude. Once all health
assessment data has been collected, it is important to cluster signs and symptoms as this will help in the